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Individual
TED RYERSBACH
Active
Individual
TED RYERSBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
638
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACCCHS
962523
AZ
Enumeration date
03/14/2007
Last updated
07/08/2007
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